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Of course there would be many variables, depending upon exactly what the situation looked like. However, in general, these would be my choices in order; 1. Lift the trailer off the car w/ Class D/recovery wrecker. 2. Leave trailer on car, access pt. from side. 3. Leave trailer on car, tunnel thru rear/trunk. 4. Pull trailer forward off car.
The problem w/ #4 is that, first...the car will probably stay connected to the trailer and move with it, second, even if the trailer & car seperate there is uncontrolled movement going on and you may further injure or kill the pt., third, there are probably flammables that leaked and you may cause ignition.
In reality.....upon arrival, seeing what you described, the officer should immediately call for a class D/recovery wrecker (class A or B won't work, C may) and go to work trying to access the patient from the sides or rear of the car. If they can't get the pt/pts out by the time the wrecker arrives, lift the trailer and access the pt/pts from the roof with roof removal and a modified dash lift.
Send your email address to LHollins@chfr.org and I'll send a couple pictures to help make the point.
Leigh
I have a crew that teaches a 4 or 8 hr class on semi, heavy truck extrication if you would like to have us present that to your region. If you have specific questions, I can answer them or I can send you a real basic outline on the subject, but our program is a powerpoint and we teach it around the country and don't offer it up because of the business aspect of it....I'm sure you understand. Leigh 941-737-4745 www.StarfireTS.com